Respiratory Therapist Skills Checklist

Please complete this self-evaluation to help MAS Medical understand your experience in specific clinical areas.

This self evaluation is for assessing your experience in specific clinical areas.
Today's Date
First Name*
Last Name*
Email*
ACUTE CARE
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chest Physical Therapy*
No Experience Limited Experience Experienced Highly Skilled
Adult Intensive Care*
No Experience Limited Experience Experienced Highly Skilled
Adult Surgical Intensive Care*
No Experience Limited Experience Experienced Highly Skilled
Adult Coronary Care*
No Experience Limited Experience Experienced Highly Skilled
General Pediatrics*
No Experience Limited Experience Experienced Highly Skilled
Trauma*
No Experience Limited Experience Experienced Highly Skilled
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chronic Obstructive Pulm. Disease*
No Experience Limited Experience Experienced Highly Skilled
Restrictive Pulmonary Diseases*
No Experience Limited Experience Experienced Highly Skilled
Neurological Disorders*
No Experience Limited Experience Experienced Highly Skilled
Smoke Inhalation & Burns*
No Experience Limited Experience Experienced Highly Skilled
Pneumothorax*
No Experience Limited Experience Experienced Highly Skilled
Chest Trauma*
No Experience Limited Experience Experienced Highly Skilled
Cystic Fibrosis*
No Experience Limited Experience Experienced Highly Skilled
Croup*
No Experience Limited Experience Experienced Highly Skilled
Epliglottitis*
No Experience Limited Experience Experienced Highly Skilled
Infant Resp Distress Syndrome*
No Experience Limited Experience Experienced Highly Skilled
Respiratory Syncytal Virus*
No Experience Limited Experience Experienced Highly Skilled
Meconium Aspiration*
No Experience Limited Experience Experienced Highly Skilled
Persistent Fetal Circulation*
No Experience Limited Experience Experienced Highly Skilled
EQUIPMENT & PROCEDURES
Adult Ventilator Management*
No Experience Limited Experience Experienced Highly Skilled
Pediatric Ventilator Management*
No Experience Limited Experience Experienced Highly Skilled
Infant Ventilator Management*
No Experience Limited Experience Experienced Highly Skilled
Neonatal Ventilator Management*
No Experience Limited Experience Experienced Highly Skilled
Vent. Management Via Parameters*
No Experience Limited Experience Experienced Highly Skilled
Adult High Frequency Ventilation*
No Experience Limited Experience Experienced Highly Skilled
Neonatal High Freq. Ventilators*
No Experience Limited Experience Experienced Highly Skilled
Pressure Controlled Ventilation*
No Experience Limited Experience Experienced Highly Skilled
Volume Controlled Ventilators*
No Experience Limited Experience Experienced Highly Skilled
Time Cycled Ventilators*
No Experience Limited Experience Experienced Highly Skilled
Bronchoscope Assistance*
No Experience Limited Experience Experienced Highly Skilled
Arterial Blood Gas Sampling*
No Experience Limited Experience Experienced Highly Skilled
Arterial Line Insertion*
No Experience Limited Experience Experienced Highly Skilled
Arterial Line Maintenance*
No Experience Limited Experience Experienced Highly Skilled
Arterial Blood Gas Analysis*
No Experience Limited Experience Experienced Highly Skilled
HOME HEALTH CARE
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chest Physical Therapy*
No Experience Limited Experience Experienced Highly Skilled
Chronic Obstructive Plum. Disease*
No Experience Limited Experience Experienced Highly Skilled
Restrictive Pulmonary Diseases*
No Experience Limited Experience Experienced Highly Skilled
LONG TERM CARE
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chest Physical Therapy*
No Experience Limited Experience Experienced Highly Skilled
Long Term Ventilator Care*
No Experience Limited Experience Experienced Highly Skilled
Chronic Obstructive Plum. Disease*
No Experience Limited Experience Experienced Highly Skilled
Restrictive Pulmonary Diseases*
No Experience Limited Experience Experienced Highly Skilled
REHABILITATION
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chest Physical Therapy*
No Experience Limited Experience Experienced Highly Skilled
Long Term Ventilator Care*
No Experience Limited Experience Experienced Highly Skilled
Chronic Obstructive Plum. Disease*
No Experience Limited Experience Experienced Highly Skilled
Restrictive Pulmonary Diseases*
No Experience Limited Experience Experienced Highly Skilled
SKILLED NURSING
Routine Therapy & Treatment*
No Experience Limited Experience Experienced Highly Skilled
Chest Physical Therapy*
No Experience Limited Experience Experienced Highly Skilled
Long Term Ventilator Care*
No Experience Limited Experience Experienced Highly Skilled
Chronic Obstructive Plum. Disease*
No Experience Limited Experience Experienced Highly Skilled
Restrictive Pulmonary Diseases*
No Experience Limited Experience Experienced Highly Skilled
EQUIPMENT AND PROCEDURES
Intubation Assistance*
No Experience Limited Experience Experienced Highly Skilled
Intubation Performance*
No Experience Limited Experience Experienced Highly Skilled
Hemodynamic Monitoring*
No Experience Limited Experience Experienced Highly Skilled
Capnography*
No Experience Limited Experience Experienced Highly Skilled
Sleep Apnea Studies*
No Experience Limited Experience Experienced Highly Skilled
Transcutaneous Monitoring*
No Experience Limited Experience Experienced Highly Skilled
Hyperbaric Therapy*
No Experience Limited Experience Experienced Highly Skilled
Cardiograms*
No Experience Limited Experience Experienced Highly Skilled
Cardiac Stress Testing*
No Experience Limited Experience Experienced Highly Skilled
Bedside Pulm. Function Testing*
No Experience Limited Experience Experienced Highly Skilled
Complete Plum. Function Testing*
No Experience Limited Experience Experienced Highly Skilled
Lung Volume Studies*
No Experience Limited Experience Experienced Highly Skilled
Diffusion Studies*
No Experience Limited Experience Experienced Highly Skilled
Pulmonary Exercise Testing*
No Experience Limited Experience Experienced Highly Skilled
ECMO Assistance*
No Experience Limited Experience Experienced Highly Skilled
ECMO Operation*
No Experience Limited Experience Experienced Highly Skilled
Age-Appropriate Care: Ability to adapt care to incorporate normal growth and development, adapt method and terminology of client instructions as it relates to the age and comprehension level of the client, and to ensure a safe environment - reflecting specific needs of the client and various age groups.

AGE
Newborn (birth- 30 days)*
No Experience Limited Experience Experienced Highly Skilled
Infant (30 days - 1 year)*
No Experience Limited Experience Experienced Highly Skilled
Toddler (1-3 years)*
No Experience Limited Experience Experienced Highly Skilled
Preschooler (3-5 years)*
No Experience Limited Experience Experienced Highly Skilled
School Age (5-12 years)*
No Experience Limited Experience Experienced Highly Skilled
Adolescents (12-18 years)*
No Experience Limited Experience Experienced Highly Skilled
Young Adults (18-39 years)*
No Experience Limited Experience Experienced Highly Skilled
Middle Adults (39-64 years)*
No Experience Limited Experience Experienced Highly Skilled
Older Adults (64+ years)*
No Experience Limited Experience Experienced Highly Skilled
Confirmation*
- By checking the box I confirm that the info I have given is true and accurate.

Respiratory Therapist Skills Checklist

ACUTE CARE

EQUIPMENT & PROCEDURES

HOME HEALTH CARE

LONG TERM CARE

REHABILITATION

SKILLED NURSING

EQUIPMENT AND PROCEDURES

AGE